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Showing papers in "Maryland medical journal in 1992"


Journal Article•
TL;DR: Of 100 physicians who entered into a continuing care contract during a five-year period with the Impaired Physicians Program of the Medical Association of Georgia, seventy-seven have maintained documentable abstinence from all mood-altering substances.
Abstract: Of 100 physicians who entered into a continuing care contract during a five-year period with the Impaired Physicians Program of the Medical Association of Georgia, seventy-seven have maintained documentable abstinence from all mood-altering substances. One physician was lost to follow-up. Twenty-two relapsed, eighteen of whom have undergone another treatment for chemical dependence. Only one physician in the relapse group has been involved in a pattern of chronic relapsing behavior.

56 citations



Journal Article•
TL;DR: There are approximately 500,000 jellyfish stings every year in the Chesapeake Bay, and Dr. Burnett describes the mechanism, venom components, types of reactions, diagnosis, and therapy.
Abstract: There are approximately 500,000 jellyfish stings every year in the Chesapeake Bay. Dr. Burnett describes the mechanism of jellyfish stings, venom components, types of reactions, diagnosis, and therapy.

28 citations


Journal Article•
TL;DR: An overview of the Physicians' Health Program of the Medical Society of New Jersey is provided, which details the current status of physicians treated for chemical dependency from 1982 to 1990; lists the perceived reasons for successful recovery; and identifies the needs for the future.
Abstract: Few studies have been able to retroactively evaluate the effectiveness of treating chemically dependent physicians. This paper provides an overview of the Physicians' Health Program of the Medical Society of New Jersey; details the current status of physicians treated for chemical dependency from 1982 to 1990; lists the perceived reasons for successful recovery; and identifies the needs for the future.

25 citations


Journal Article•
Bahr Rd1•
TL;DR: The tremendous advances in cardiac patient care are not being delivered to the majority of patients because the patients are entering the system too late and are not taking advantage of prodromal symptoms.
Abstract: The tremendous advances in cardiac patient care are not being delivered to the majority of patients because the patients are entering the system too late and are not taking advantage of prodromal symptoms. Chest discomfort must be promoted as a risk factor and emergency room programs developed whereby patients can be checked out and treated early.

24 citations


Journal Article•
TL;DR: Though males generally were more likely to use substances than females, young male and female physicians resembled one another in their current rates of substance use more than they resembled their gender counterparts in society.
Abstract: National drug use surveys of medical students and resident physicians in 1987 found that medical school was not a time when students began to use drugs, nor was it a time when they engaged in heavy use. Medical students and resident physicians reported lower rates of illicit drug use than their age and gender counterparts. Although males generally were more likely to use substances than females, young male and female physicians resembled one another in their current rates of substance use more than they resembled their gender counterparts in society.

21 citations


Journal Article•
Alpern F1, Correnti Ce, Dolan Te, Llufrio Mc, Sill A •
TL;DR: In a survey of physicians who had participated in the Maryland Physician Rehabilitation Program, 75 percent of the respondents reported that they were in recovery, with a mean recovery duration of eighty-eight months.
Abstract: In a survey of physicians who had participated in the Maryland Physician Rehabilitation Program, 75 percent of the respondents reported that they were in recovery, with a mean recovery duration of eighty-eight months.

20 citations



Journal Article•
TL;DR: Laboratory findings that suppressor cell function is improved with beta interferon therapy and that gammaInterferon activity is inhibited by beta Interferon provide support for the hypothesis that beta interFERon will have a significant therapeutic effect on relapse rates in multiple sclerosis.
Abstract: Laboratory findings that suppressor cell function is improved with beta interferon therapy and that gamma interferon activity is inhibited by beta interferon provide support for the hypothesis that beta interferon will have a significant therapeutic effect on relapse rates in multiple sclerosis.

12 citations


Journal Article•
TL;DR: A three-year-old white male presented with an extremely painful abscess of the nasal portion of the right upper eyelid and a larva identified as family Cuterebridae, genus Cuterebra sp was removed from the abscess, permitting its rapid resolution.
Abstract: A three-year-old white male presented with an extremely painful abscess of the nasal portion of the right upper eyelid. A larva identified as family Cuterebridae, genus Cuterebra sp, was removed from the abscess, permitting its rapid resolution. This represents an unusual patient with external ophthalmomyiasis who enjoys excellent nutritional and environmental surroundings.

9 citations


Journal Article•
TL;DR: Through careful correlation of structure-activity relationships of AnTX analogs, the development of diagnostic and therapeutic drugs with specific nicotinic agonist or antagonist activities in the central nervous system that would be of major importance in the treatment of Alzheimer's disease may be led.
Abstract: The need to treat diseases affecting the nicotinic AChR is great, but therapeutic options are few. Through careful correlation of structure-activity relationships of AnTX analogs, we may ultimately be led to the development of diagnostic and therapeutic drugs with specific nicotinic agonist or antagonist activities in the central nervous system that would be of major importance in the treatment of Alzheimer's disease.


Journal Article•
TL;DR: The epidemiology of Lyme disease in Maryland for 1987 to 1990 when the number of cases reported grew from 23 to 448 and the number-of- cases meeting the CDC case definition grew from 238 to 238 is described.
Abstract: We describe the epidemiology of Lyme disease in Maryland for 1987 to 1990 when the number of cases reported grew from 23 to 448 and the number of cases meeting the CDC case definition grew from 23 to 238, as well as discuss the implications of increased reporting and diagnosis of Lyme disease.

Journal Article•
TL;DR: In a retrospective study of fifty cases of gastrostomy insertion performed operatively or using a percutaneous endoscopic approach, complication rates were 74% and 76% in the OG group, and 86 percent in the PEG group.
Abstract: In a retrospective study of fifty cases of gastrostomy insertion performed operatively (OG) or using a percutaneous endoscopic approach (PEG), complication rates were 74 percent (nineteen adults) and 76 percent (seventeen children) in the OG group, and 86 percent (fourteen adults) in the PEG group. While most complications were minor, major ones were usually related to the underlying disease and the general condition of the patient.


Journal Article•
TL;DR: The employee assistance program is suggested as a resource to hospital professional assistance committees and a set of guidelines for the design and operation of these committees are suggested.
Abstract: This paper presents a review of the current literature on hospital professional assistance committees, a discussion of key issues, and a set of guidelines for the design and operation of these committees. The employee assistance program is suggested as a resource to these committees.

Journal Article•
TL;DR: Examples of how pharmacists can assist physicians in improving and monitoring their patients' compliance behavior are presented and strategies to enhance communication through the written prescription are offered.
Abstract: The documented low rate of compliance can result from ineffective communication by the pharmaceutical and medical profession, and poor comprehension of prescription instructions by the public. Presented are several examples of how pharmacists can assist physicians in improving and monitoring their patients' compliance behavior. Strategies to enhance communication through the written prescription are offered.


Journal Article•
Titanji R1, Paz-Guevara A•
TL;DR: A patient with the typical clinical and biochemical features of severe Type V hyperlipidemia associated with alcohol consumption and estrogen use was presented and prompt medical intervention resulted in normalization of her lipid profile.
Abstract: We present a patient with the typical clinical and biochemical features of severe Type V hyperlipidemia associated with alcohol consumption and estrogen use. Prompt medical intervention resulted in normalization of her lipid profile. We review the lipoprotein composition, the role of lipoproteins in lipid transport with special emphasis on triglycerides, and the clinical features, pathogenesis, and management of Type V hyperlipidemia.

Journal Article•
TL;DR: No relationship could be demonstrated between insurance status or race and the probability of receiving a prenatal ultrasound examination in the first group of respondents of the 1988 National Maternal and Infant Health Survey.
Abstract: Data from the first group of respondents (N = 4,846) of the 1988 National Maternal and Infant Health Survey were analyzed. After controlling for potentially confounding factors, such as maternal age, in a multivariate analysis, no relationship could be demonstrated between insurance status or race and the probability of receiving a prenatal ultrasound examination.


Journal Article•
TL;DR: The University of Maryland Medical School, established in 1807, focused on bedside teaching, has continued and expanded through the growth of University Hospital and the University ofMaryland Medical System, such that Maryland can now boast of a superb medical care system providing excellent medical education and research opportunities in a patient care setting.
Abstract: The University of Maryland Medical School, established in 1807, focused on bedside teaching. This emphasis has continued and expanded through the growth of University Hospital and, ultimately, the University of Maryland Medical System, such that Maryland can now boast of a superb medical care system providing excellent medical education and research opportunities in a patient care setting.

Journal Article•
TL;DR: Sir William Osler, the first physician-in-chief of the Johns Hopkins Hospital and later Regius Professor of Medicine at Oxford, is judged by many to be the greatest clinician of the modern era.
Abstract: Sir William Osler, the first physician-in-chief of the Johns Hopkins Hospital and later Regius Professor of Medicine at Oxford, is judged by many to be the greatest clinician of the modern era. His life history of distinguished service to medicine and to society is well known. What is not so well known is his mischievous streak.

Journal Article•
TL;DR: If human antibody responses undergo molecular shifts similar to those identified in mice, the appropriate immunization strategy for the elderly would be a passive administration of the protective antibody from young donors rather than an attempt to boost the individual's own response with a more potent vaccine.
Abstract: If human antibody responses undergo molecular shifts similar to those identified in mice, the appropriate immunization strategy for the elderly would be a passive administration of the protective antibody from young donors rather than an attempt to boost the individual's own response with a more potent vaccine, because the shifted immune system can no longer make the right kind of antibody.

Journal Article•
TL;DR: Since its establishment in 1980, 128 physicians have been referred to the Impaired Physician Program of th Medical Society of the District of Columbia, of whom sixty-four have either successfully completed the program or are in stable recovery.
Abstract: Since its establishment in 1980, 128 physicians have been referred to the Impaired Physician Program of th Medical Society of the District of Columbia, of whom sixty-four have either successfully completed the program or are in stable recovery.

Journal Article•
TL;DR: The University of Maryland is studying the oxygen needs of internal organs and how these needs can be met by oxygen carriers in cell-free fluids, which have a large variety of applications including hemodilution, transfusion therapy, organ preservation, and cancer therapy.
Abstract: The University of Maryland is studying the oxygen needs of internal organs and how these needs can be met by oxygen carriers in cell-free fluids. Once developed, cell-free oxygen carriers will have a large variety of applications including hemodilution, transfusion therapy, organ preservation, and cancer therapy.


Journal Article•
TL;DR: Laparoscopic cholecystectomy can reduce hospital stays and the length of the recovery period, as well as decrease postoperative pain, diminish scarring, and provide significant cost savings.
Abstract: The capability of performing major abdominal surgery while avoiding a large abdominal incision has clear benefits for patient care. Laparoscopic cholecystectomy can reduce hospital stays and the length of the recovery period, as well as decrease postoperative pain, diminish scarring, and provide significant cost savings.

Journal Article•
TL;DR: The University of Maryland was the first program in the state to offer chorionic villus sampling (CVS), and since the program's beginning in 1984, 998 patients have been seen with successful sampling in 99.1 percent, using both transcervical and transabdominal approaches.
Abstract: The University of Maryland was the first program in the state to offer chorionic villus sampling (CVS). Since the program's beginning in 1984, 998 patients have been seen with successful sampling in 99.1 percent, using both transcervical and transabdominal approaches. The overall loss rate was quite low (2.3 percent), and no increased risk of birth defects was seen. These observations demonstrate that CVS provides a safe and accurate alternative to amniocentesis.

Journal Article•
TL;DR: How proficient area physicians are in identifying substance abuse is examined by comparing physician estimates of substance abuse in their patient populations with local and national statistics.
Abstract: By identifying and counseling substance abusers within their own practices, primary care physicians can play a major role in reducing levels of substance abuse. How proficient area physicians are in identifying substance abuse is examined by comparing physician estimates of substance abuse in their patient populations with local and national statistics.